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Senate hears bill to make Community Health Aide Program permanent for Montana tribes
Summary
Senate Bill 170 would remove the termination date for Montana’s Community Health Aide Program (CHAP), allowing tribes to continue training and certifying community, dental and behavioral health aides and seeking Medicaid state‑plan inclusion and 100% FMAP reimbursement for IHS/tribal facilities.
Senator Jonathan Windy Boy introduced Senate Bill 170 on Jan. 31, 2025, asking the Senate Public Health, Welfare and Safety Committee to eliminate the program’s sunset date and authorize the state to seek a Medicaid state plan amendment to include CHAP providers.
Windy Boy said CHAP—comprising community health aides, dental health aides and behavioral health aides—is a ‘‘grow‑your‑own’’ model that enables tribes to recruit and train local providers who work under the supervision of licensed clinicians. Proponents representing multiple tribal governments, tribal health centers and tribal…
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